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Phase I study; 16 Child-Pugh class A patients

Low Veff (<30%) n=4 and high Veff (30-60%) n=12);

Sorafenib escalation 100 mg > 400 mg > 800 mg daily

Results:

1/6 at 200 mg sorafenib daily: grade 3 ”tumor rupture”

6/12 with high Veff had worsening of Child-Pugh class

SBRT and sorafenib for HCC

Brade et al. IJROBP 2016;

94(3):580-7